scholarly journals Silence That Can Be Dangerous: A Vignette Study to Assess Healthcare Professionals’ Likelihood of Speaking up about Safety Concerns

PLoS ONE ◽  
2014 ◽  
Vol 9 (8) ◽  
pp. e104720 ◽  
Author(s):  
David L. B. Schwappach ◽  
Katrin Gehring
Keyword(s):  
Healthcare Professionals ◽  
Speaking Up ◽  
Safety Concerns ◽  
Vignette Study

Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study

BMJ Leader ◽  
2021 ◽  
pp. leader-2020-000407
Author(s):  
Rachel Umoren ◽  
Sara Kim ◽  
Megan M Gray ◽  
Jennifer A Best ◽  
Lynne Robins
Keyword(s):  
Patient Safety ◽  
Healthcare Professionals ◽  
Speaking Up ◽  
Group Discussions ◽  
Healthcare Facilities ◽  
Safety Concerns ◽  
Purposeful Sampling ◽  
Study Team ◽  
Speak Up ◽  
The Impact

ObjectivesDespite training and the recognition that speaking up can mitigate harm to patients and save lives, healthcare professionals do not consistently speak up when they have patient safety concerns. The purpose of this study was to identify barriers to and facilitators of speaking up about patient safety concerns to inform the development of interventions that will increase this behaviour.DesignFrom October 2017 to February 2018, the study team conducted focus groups and interviews with nurses, advanced practice providers and physicians at three healthcare facilities. Participants were prompted to share their personal experiences with and perspectives on speaking up about patient safety concerns and to discuss strategies for communicating those concerns.SettingTertiary academic healthcare centre.Participants62 healthcare professionals participated in the study. Purposeful sampling was used to include participants of different health professions and experience levels.Main outcome measuresWe planned to answer questions about why more healthcare professionals do not consistently speak up when they have legitimate patient safety concerns and to identify ways to enhance current interventions on speaking up behaviours,ResultsTwelve focus group discussions and two interviews were conducted with 62 participants. We identified two recurring themes: (1) The predominantly hierarchical culture of medicine is a barrier to speaking up and (2) Institutional, interpersonal and individual factors can modulate the impact of medicine’s hierarchical culture on speaking up behaviours and inform the strategies employed.ConclusionsThe data highlighted the importance of moving beyond targeting front-line healthcare professionals for training in the skills of speaking up and engaging institutional leaders and systems to actively promote and reward speaking up behaviours.

scholarly journals Speaking up about safety concerns: multi-setting qualitative study of patients' views and experiences

2010 ◽  
Vol 19 (6) ◽  
pp. e33-e33 ◽  
Author(s):  
V. A. Entwistle ◽  
D. McCaughan ◽  
I. S. Watt ◽  
Y. Birks ◽  
J. Hall ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Speaking Up ◽  
Safety Concerns

scholarly journals Attitudes and Approaches to Use of Meal Replacement Products among Healthcare Professionals in Management of Excess Weight

2020 ◽  
Vol 10 (9) ◽  
pp. 136
Author(s):  
Gabrielle Maston ◽  
Janet Franklin ◽  
Alice A. Gibson ◽  
Elisa Manson ◽  
Samantha Hocking ◽  
...  
Keyword(s):  
Weight Loss ◽  
Weight Management ◽  
Online Survey ◽  
Healthcare Professionals ◽  
Overweight And Obesity ◽  
Prescribing Patterns ◽  
Formal Training ◽  
Meal Replacement ◽  
Potential Barriers ◽  
Safety Concerns

Meal replacement product-based diets are an effective weight loss intervention used in the management of obesity. Historically, these diets have been underutilised by HealthCare Professionals (HCPs). An online survey of mixed methods design was distributed to HCPs to capture current perceptions and prescribing patterns of meal replacement products (MRPs) in the management of overweight and obesity. A total of 303 HCPs working in weight management across Australia began the survey and 197 (65%) completed it. While over 70% of HCPs have prescribed MRP currently or in the past, MRPs are only prescribed to a median 7% of patients seeking weight management treatment. Qualitative analysis identified potential barriers to MRP prescription, which include experience with patient non-compliance, perceived poor long-term weight loss durability and safety concerns regarding the product and its use as a total meal replacement program. Safety concerns are centred on the perceived risk of weight cycling and its potential negative psychological impact. MRP prescription is 66% more likely to occur if HCPs had formal training in the use of MRPs relative to those who did not, with a relative risk (RR) of 1.7 (95% CI 1.4, 2.0). This study highlights the potential barriers to the prescription of MRPs, which are centred around safety concerns. This also indicates that formal training may enhance the likelihood of prescribing MRPs, suggesting that once HCPs have a comprehensive understanding of the products and the evidence behind their use, their prescription is likely to be increased.

Patient Safety Over Power Hierarchy: A Scoping Review of Healthcare Professionals' Speaking-up Skills Training

2020 ◽  
Vol 42 (5) ◽  
pp. 249-263 ◽  
Author(s):  
Sara Kim ◽  
Nital P. Appelbaum ◽  
Neil Baker ◽  
Nadia M. Bajwa ◽  
Frances Chu ◽  
...  
Keyword(s):  
Patient Safety ◽  
Scoping Review ◽  
Healthcare Professionals ◽  
Skills Training ◽  
Speaking Up ◽  
Power Hierarchy

Speaking up about patient safety concerns: the influence of safety management approaches and climate on nurses’ willingness to speak up

2018 ◽  
Vol 28 (1) ◽  
pp. 39-48 ◽  
Author(s):  
Carien W Alingh ◽  
Jeroen D H van Wijngaarden ◽  
Karina van de Voorde ◽  
Jaap Paauwe ◽  
Robbert Huijsman
Keyword(s):  
Patient Safety ◽  
Safety Management ◽  
Psychological Safety ◽  
Regression Analyses ◽  
Speaking Up ◽  
Safety Concerns ◽  
Management Approaches ◽  
Nurses Perceptions ◽  
Speak Up ◽  
The Relationship

BackgroundSpeaking up is important for patient safety, but healthcare professionals often hesitate to voice their concerns. Direct supervisors have an important role in influencing speaking up. However, good insight into the relationship between managers’ behaviour and employees’ perceptions about whether speaking up is safe and worthwhile is still lacking.AimTo explore the relationships between control-based and commitment-based safety management, climate for safety, psychological safety and nurses’ willingness to speak up.MethodsWe conducted a cross-sectional survey study, resulting in a sample of 980 nurses and 93 nurse managers working in Dutch clinical hospital wards. To test our hypotheses, hierarchical regression analyses (at ward level) and multilevel regression analyses were conducted.ResultsSignificantly positive associations were found between nurses’ perceptions of control-based safety management and climate for safety (β=0.74; p<0.001), and between the perceived levels of commitment-based management and team psychological safety (β=0.36; p<0.01). Furthermore, team psychological safety is found to be positively related to nurses’ speaking up attitudes (B=0.24; t=2.04; p<0.05). The relationship between nurse-rated commitment-based safety management and nurses’ willingness to speak up is fully mediated by team psychological safety.ConclusionResults provide initial support that nurses who perceive higher levels of commitment-based safety management feel safer to take interpersonal risks and are more willing to speak up about patient safety concerns. Furthermore, nurses’ perceptions of control-based safety management are found to be positively related to a climate for safety, although no association was found with speaking up. Both control-based and commitment-based management approaches seem to be relevant for managing patient safety, but when it comes to encouraging speaking up, a commitment-based safety management approach seems to be most valuable.

Barriers to Speaking Up About Patient Safety Concerns

2017 ◽  
Vol 16 (4) ◽  
pp. e230-e234 ◽  
Author(s):  
Jason M. Etchegaray ◽  
Madelene J. Ottosen ◽  
Theresa Dancsak ◽  
Eric J. Thomas
Keyword(s):  
Patient Safety ◽  
Speaking Up ◽  
Safety Concerns

scholarly journals Survery of healthcare professionals to assess the awareness, knowledge and self-reported behavior regarding recent fluoroquinolones safety issues

2021 ◽  
Author(s):  
Madalina Huruba ◽  
Andreea Farcas ◽  
Daniel Corneliu Leucuta ◽  
Mariana Sipos ◽  
Cristina Mogosan
Keyword(s):  
Online Survey ◽  
Healthcare Professionals ◽  
National Level ◽  
Professional Communication ◽  
Survey Study ◽  
Risk Minimization ◽  
Cross Sectional ◽  
Safety Issues ◽  
Safety Concerns ◽  
The Impact

Background and aims. The impact of fluoroquinolone (FQ)-induced long-lasting, disabling, and potentially irreversible serious adverse drug reactions (ADRs) on the overall benefit-risk balance and the need for adequate risk minimization measures has been recently assessed. The present study aims to evaluate physicians and pharmacists' awareness and knowledge of the recent safety issues communicated through a direct healthcare professional communication (DHPC), regarding FQs, at a national level, in Romania, as well as healthcare professionals (HPs) self-reported behavior regarding the management of the risk. Methods. Cross-sectional, online survey study, conducted in Romania. Results. A total of 127 participants responded to the survey. Six (4.7%) were physicians and 121 (95.3%) were pharmacists. The predominant age was 31-40 years (N=52, 40.9%), and most respondents were females (N=117, 92.1%). A majority of 101 (79.5%) were reportedly aware of the existence of the new safety issues associated with FQs, and slightly less were aware of the DHPC (N=86, 67.7%) issued in 2019. In terms of knowledge, slightly more than half of the respondents had correctly selected the responses regarding key safety messages on most important ADRs and restrictions / cautions for use. The impact of the communication on HPs self-reported behavior was high or very high in almost half of the participants (N=63, 49.6%). Conclusions. A high percentage of participants were aware of the FQ-associated safety concerns. Knowledge was relatively good for the key safety concerns among HPs. A notable impact on behavior was observed, mostly in terms of counselling of the patient and disseminating the information to colleagues.    

scholarly journals How do healthcare professionals make decisions concerning low-value care practices? Study protocol of a factorial survey experiment on de-implementation

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Marta Roczniewska ◽  
Ulrica von Thiele Schwarz ◽  
Hanna Augustsson ◽  
Per Nilsen ◽  
Sara Ingvarsson ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Factorial Survey ◽  
Survey Experiment ◽  
Factors Affecting ◽  
Vignette Study ◽  
Decision Making Processes ◽  
Care Practices

Abstract Background A large number of practices used in health care lack evidence of effectiveness and may be unnecessary or even cause harm. As such, they should be de-implemented. While there are multiple actors involved in de-implementation of such low-value care (LVC) practices, ultimately, the decision to abandon a practice is often made by each health care professional. A recent scoping review identified 6 types of factors affecting the utilization vs. abandonment of LVC practices. These factors concern health care professionals, patients, outer context, inner context, processes, and the characteristics of LVC practice itself. However, it is unclear how professionals weigh these different factors in and how these determinants influence their decisions about abandoning LVC practices. This project aims to investigate how health care professionals account for various factors as they make decisions regarding de-implementation of LVC practices. Methods This project will be carried out in two main steps. First, a factorial survey experiment (a vignette study) will be applied to empirically test the relevance of factors previously identified in the literature for health care professionals’ decision-making about de-implementation. Second, interactive workshops with relevant stakeholders will be carried out to develop a framework for professionals’ decision-making and to offer suggestions for interventions to support de-implementation of LVC practices. Discussion The project has the potential to contribute to improved understanding of the decision-making involved in de-implementation of LVC practices. We will identify which factors are more important when they make judgments about utilizing versus abandoning LVC practices. The results will provide the basis for recommendations concerning appropriate interventions to support de-implementation decision-making processes.

scholarly journals Speaking up about safety concerns in high-risk industries: Correlates of safety voice in the offshore oil rig sector

2022 ◽  
Vol 145 ◽  
pp. 105487
Author(s):  
Gro Ellen Mathisen ◽  
Tore Tjora ◽  
Linn Iren Vestly Bergh
Keyword(s):  
High Risk ◽  
Speaking Up ◽  
Safety Concerns ◽  
Oil Rig ◽  
Offshore Oil
Sign in / Sign up

Export Citation Format

Share Document